[104-10164-10193
- 93] [2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |
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TRAVEL PROCESSING SHEET

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DATE OF POLYGRAPH Putte j 2

DATE OF CERTIFICATION

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CONCURRENCE

9? 7 suBSECT was interviewed regarding the followings

On a Zo
1. (Knowledge of Security regulations in general.

2. Travel precautions (No CIA identification); emergency contact numbers.
3, Cover story (briefing, nature and adequacy )¢

4. Dependents Briefing.

5, “Personal affairs prior to departure.

6, Personal Correspondence while overseas.

7" Personal Conduct: (10-250 & 20-155).

8, Assignments involving Risk of Capture ~- 10-800.

9. Defensive Audio-Surveillance matters,

Date Checked out :
; Security Officer

Nes

- ZS
7 / Z Interviewed
SECRET

